| NPI | 1700291705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W SMITH Director Of Operations 571-383-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 0133000112) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 0133000112) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 0134000045) | |
| 251S00000X (Licence: VA 0133000112) | |
| 251S00000X (Licence: VA 0134000045) | |
| 252Y00000X Early Intervention Provider Agency (Licence: VA 0134000045) | |
| 253Z00000X In Home Supportive Care (Licence: VA 0133000112) | |
| 253Z00000X In Home Supportive Care (Licence: VA 0134000045) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-09-01 |